Free Health & Safety Committee Performance Evaluation Template

Health & Safety Committee Performance Evaluation

Please complete each section of the form to evaluate the performance of the committee. Provide a rating of 1-5, 1 for Poor and 5 for Excellent, on some statements.

EVALUATOR INFORMATION

Name: [Your Name]

Date: [12/14/2056]

Position: [General Manager]

Number: [222 555 7777]

PERFORMANCE RATING

Items

5

4

3

2

1

Frequency of Meetings

Quality of Meeting Agendas

Participation and Engagement

Identification of Workplace Hazards

Effectiveness of Risk Assessments

Documentation of Risk Assessments

Policy Development and Updates

Compliance with Regulations

Effectiveness of Training Programs

Communication Strategies

Comments/Suggestions

1

[The committee had exceptionally followed industry best practices]

2

3

VERIFICATION

I, [Your Name], hereby certify that the information and assessments provided in this Evaluation accurately reflect my observations and judgments. I have conducted this evaluation fairly and in accordance with established criteria. 

Date: [MM/DD/YY]

Thank you for your dedication to maintaining a safe and healthy work environment.

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